Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya Hospital at Central South University, Changsha, China.
J Diabetes Res. 2020 Jul 1;2020:6478393. doi: 10.1155/2020/6478393. eCollection 2020.
Metabolic syndrome (MetS) is now becoming a serious public health threat. Some behaviors risk factors were considered to be associated with MetS and interacted to adversely affect MetS. However, the clustering effects of behavior risk factors of MetS among Chinese population remain unclear. The aim of this study is to observe the behavior risk factors and their clustering effects of MetS in China.
A cross-sectional study design was used. Subjects were recruited in the departments of Cardiology Clinic, Endocrine Clinic, and Health Management from March to December 2019. A demographic sheet was designed to collect the demographic and clinical characteristics of the subjects. International Physical Activity Questionnaire-Short was applied to evaluate the level of PA in this study. Other behavior risk factors were observed by the questionnaire. The stepwise logistic regression analysis was performed to identify the determinants of MetS. The multiple logistic regression analysis was used to analyze the clustering effects of behavior risk factors in MetS.
There are a total of 532 eligible subjects (56.6% females; mean age was 48.4 ± 15.3 years), and approximately 33.3% were diagnosed as MetS. The subjects with a smoking habit (heavy and long-time history) had a 1.833-fold higher risk for MetS than their counterparts (none and light smoking), and the subjects that preferred salty taste had a 1.626-fold higher risk for MetS than the comparison cohort. Smoking and alcohol drinking had the highest clustering effect on MetS among the behavior risk factors.
The main finding of this study was that smoking and salty taste preference were the independent determinants of MetS. Smoking and alcohol consumption had the highest clustering effect on southern Chinese MetS.
代谢综合征（MetS）现在正成为严重的公共卫生威胁。一些行为危险因素被认为与 MetS 相关，并相互作用，对 MetS 产生不利影响。然而，中国人群代谢综合征行为危险因素的聚类效应仍不清楚。本研究旨在观察中国人群代谢综合征的行为危险因素及其聚类效应。
采用横断面研究设计。研究对象于 2019 年 3 月至 12 月在心血管科、内分泌科和健康管理科招募。设计了一份人口统计学表格，以收集研究对象的人口统计学和临床特征。应用国际体力活动问卷-短卷评估本研究中的 PA 水平。通过问卷观察其他行为危险因素。采用逐步逻辑回归分析确定 MetS 的决定因素。采用多因素逻辑回归分析代谢综合征行为危险因素的聚类效应。
共纳入 532 例符合条件的受试者（女性占 56.6%；平均年龄为 48.4±15.3 岁），约 33.3%被诊断为 MetS。有吸烟习惯（重度且长期吸烟）的受试者患 MetS 的风险是无吸烟或轻度吸烟的受试者的 1.833 倍，喜欢吃咸的受试者患 MetS 的风险是对照组的 1.626 倍。在行为危险因素中，吸烟和饮酒对 MetS 的聚类效应最高。
本研究的主要发现是吸烟和喜欢吃咸是 MetS 的独立决定因素。吸烟和饮酒对中国南方人群 MetS 的聚类效应最高。
